Kuthamanga kungatichepetse ife, kapena kutisiyitsa ife panjira zathu
Kutchuka kumamveka bwino ngati kuwonjezeka kwa minofu. Ngakhale kuti izi zikhoza kumveka bwino kwa ife, zomwe zimatanthawuza zikutanthauza kuti minofu musamasangalale mochuluka kapena mosavuta momwe ayenera. Chifukwa chaichi, kusasamala kumakhudza kayendetsedwe ka kayendetsedwe kake, kupanga chizindikiro cha magalimoto, mosiyana ndi chizindikiro chodzidzimutsa.
Kodi Kutaya Mtima Kumamva Bwanji?
Kuthamanga kumachitika nthawi zambiri m'milingo kuposa mikono.
Zimakhalanso zosakwanira, kutanthauza kuti ndizovuta kapena zimachitika kawirikawiri kumbali imodzi ya thupi kusiyana ndi inayo.
Pali mawu ochepa omwe amagwiritsidwa ntchito pofotokozera zolakwika pakati pa anthu omwe ali ndi multiple sclerosis (MS):
Zowonjezereka zimachitika pamene chiwalo, kawirikawiri mwendo, chimagwedezeka ndipo munthuyo satha kugoba. Izi zimayambitsa chiwalo, kawirikawiri mwendo, kuchoka kutali ndi thupi. Nthawi zambiri zimakhudza quadriceps-minofu yaikulu kutsogolo kwa ntchafu-kuchititsa mwendo wakutsogolo kuti uwongolere. Mphuno ya mitsempha yotchedwa adductor (yomwe ili mkati mwa mwendo wapamwamba) ndi yochepa koma ingayambitse miyendo ya munthu pamodzi mwamphamvu, zomwe zimapangitsa kuti zikhale zovuta kuzigawa.
Mavuto osokoneza bongo amachititsa kuti thupi lilowe mgwirizano, kapena kupindika, kumbali. Mtundu woterewu nthawi zambiri umakhudza miyendo, makamaka hamstrings kapena hip flexers.
Clonus ndi pamene minofu imamveka mobwerezabwereza. Mitundu yambiri ya clonus ndi pamene phazi la munthu limagwira mobwerezabwereza pansi, kapena ngati bondo kapena bondo la munthu likubwereza mobwerezabwereza pambuyo pa kukakamiza (monga kugwirana pamodzi), m'malo mogwiritsira ntchito kapopi imodzi.
Kukhumudwa kungaganizidwe ngati kufatsa pang'ono. Ngakhale kuti sizodziwika ngati zina zomwe zimatchulidwa pamwambapa, pamene minofu ikuchedwa kupuma, ingayambitse mavuto kuyenda kapena kugwiritsa ntchito manja ndi zala kuchita zovuta. Nthawi zina, kulimbika sikungakhale vuto lalikulu. Nthawi zina, zimayambitsa mavuto ndi kuyenda kapena zopweteka zokhazokha zotsutsana ndi moyo wa tsiku ndi tsiku.
Kodi Zidzakhala Zogwirizana Bwanji ndi MS?
Akatswiri ambiri amalingalira kuti ambiri mwa anthu omwe ali ndi MS amakumana ndi vuto linalake panthawi ina. Zowonjezera, kafukufuku wina amasonyeza kuti kwa munthu mmodzi mwa atatu mwa anthu omwe ali ndi multiple sclerosis amasintha zochita zawo za tsiku ndi tsiku chifukwa cha kupambanitsa.
N'chiyani Chimachititsa Kuti Anthu Azichita Zinthu Zoopsa?
Mofanana ndi zizindikiro zina za MS, kutaya mtima kwenikweni kumachitidwa ndi kuwonongedwa . Chifukwa cha kupsa mtima kapena kusokonezeka maganizo, minofu ikhoza kuchita zinthu zitatu: osamasuka mofulumira monga momwe akufunira, kukanika mwakachetechete, kapena kukhala ogwirizana kwa nthawi yaitali kapena nthawi zonse.
Zinthu zingapo zimapangitsa kuti anthu azikhala osasamala, ngati "zizindikiro" zapasimasi. Izi zimayambitsa:
- Matenda, monga kupuma, matenda a mkodzo kapena matenda a chikhodzodzo
- Ululu
- Zilonda kapena kuwonongeka kwa khungu
- Kuwonjezeka kwa kutentha kwa mkati (mwachitsanzo, chifukwa cha malungo kapena kuchita masewera olimbitsa thupi)
- Chikhodzodzo chonse
- Kuphimba, kupukuta kapena zovala zowopsya
- Kutsekedwa
- Mavuto ndi kukhazikika
- Kusokonezeka maganizo, nkhawa, kapena nkhawa
- Kutentha kwakukulu kwa chilengedwe
Kodi Kuwopsa Kwambiri Kungapangitse Bwanji?
Kwa anthu ambiri, kusasamala kungakhale kusokoneza kapena vuto lopitirira lomwe limalepheretsa kuyenda bwino tsiku lina koma kulibe lotsatira. Zingakhale kuyenda mofulumira kapena kukwera masitepe n'kovuta kuposa kale.
Ena angapindule ndi kupepuka kapena kuuma kofatsa, chifukwa zingathe kuthana ndi kufooketsa kwa minofu ndi kukhale kosavuta kuima-lingaliro losangalatsa.
Izi zanena kuti, kwa anthu ena, mitundu yoipa ya kusasamala kapena kuuma kungawononge vuto ndi kuyenda, monga kuyenda kumakhala kovuta kapena kosatheka. Mwachitsanzo, zina zotere zimatha kuwonjezeka pochoka pamgedi kupita ku njinga ya olumala zomwe zimadzutsa m'mawa ntchito yovuta.
Kuphatikizanso apo, zina zothamanga zimatha kukhala mwadzidzidzi komanso mwamphamvu kuti munthuyo akhoze kugwa pa mpando kapena bedi. Mavuto osokoneza bongo angachititse kuti miyendo ikhale ndi malo opweteka ndipo imapweteka kuwirikiza.
Kodi Mungatani Kuti Anthu Asamakhumudwe?
Pali mankhwala osiyanasiyana osiyana siyana, opatsirana pogwiritsa ntchito mankhwala osokoneza bongo, kuuma kwake, komanso kumwa mankhwala. Komabe, chinthu choyamba kuyesa ndikuchotsa zina mwa zovuta zomwe tazitchula pamwambapa kuti tiwone ngati izo zithandizira, makamaka ngati spasms zikuwoneka kuti zikuchitika mwapadera.
Mukamaliza kuchita zimenezi, kambiranani ndi dokotala njira zothetsera vutoli. Njira zazikuluzikulu zothandizira kapena njira zoyendetsera chisokonezo ndizo:
- Mankhwala opatsirana monga kutambasula, mwina mopanda pang'onopang'ono-wina akukugwirani manja, kapena mwakhama-mumayesa kutambasula minofu yanu, kapena hydrotherapy (kuyesera m'madzi)
- Kugwiritsa ntchito zipangizo zamakina, monga braces.
- Mankhwala am'malamulo, kuphatikizapo Baclofen, Zanaflex (tizanidine), ndi benzodiazepines (mtundu wa mankhwala umadalira malo, mtundu, ndi kuuma kwa malowa)
- Baclofen ya intrathecal, yomwe imakhala ndi mpweya womwe umalowetsa m'thupi mumtundu wa msana womwe uli ndi cerebrospinal fluid
- Botox jekeseni
- Opaleshoni yomwe mitsempha imasiyanitsidwa-izi zimagwiritsidwa ntchito pa milandu yovuta kwambiri.
Anthu ambiri omwe ali ndi vutoli amayesa njira zosiyana zowonjezera ndi njira zina kuti athetsere, kuphatikizapo yoga, reflexology , biofeedback, minofu, Tai Chi ndi ena. Ngakhale kuti pali umboni wochepa wa sayansi womwe umathandiza kuti asamagwiritse ntchito, anthu ena amapeza kuti ndiwothandiza -ndipo mankhwalawa angakhale ndi ubwino wina.
Pomalizira, mankhwala odzudzula pamlomo kapena mankhwala opatsirana omwe amachokera ku nkhono (wotchedwa Sativex) angagwiritsidwe ntchito pochiza-malo omwe Sativex sakuvomerezedwa tsopano ku United States.
Mawu Ochokera
Mukamayesetsa kusasamala, yesetsani kusunthira, kutambasula, kupewa zinthu zina, komanso kuchita chithandizo monga mankhwala opatsirana kapena hydrotherapy. Onetsetsani kuti mukugwiritsanso ntchito malingaliro anu-dokotala wanu adziwe momwe kudana kwanu kumakhudzira umoyo wanu (ngati uli) ndikuyankhire.
> Zotsatira:
> National MS Society. (2017). Kuthamanga.
> Novotna A et al. > Kupititsa patsogolo ntchito yopanga maonekedwe a "multipleximols" (Sativex (®)), monga mankhwala owonjezera, pa nkhani zomwe zimakhala zovuta chifukwa cha matenda ambiri a sclerosis. Eur J Neurol . 2011 Sep; 18 (9): 1122-31.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (October 2016). Chizindikiro choyendetsa matenda ambiri m'mimba mwa akuluakulu. Mu: UpToDate, González-Scarano (Ed), UpToDate, Waltham, MA.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (May 2016). Mankhwala a matenda ambiri a sclerosis mwa akuluakulu. Mu: UpToDate, González-Scarano (Ed), UpToDate, Waltham, MA.